中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
19期
2287-2289
,共3页
自我护理%Orem自理理论%迟发型颅内血肿
自我護理%Orem自理理論%遲髮型顱內血腫
자아호리%Orem자리이론%지발형로내혈종
Self-care%Orem self-care theory%Delayed intracranial hematoma
目的 探讨Orem自理理论在迟发型颅内血肿患者护理中的应用价值.方法 将53例迟发型颅内血肿患者按照随机数字表法随机分为观察组30例和对照组23例；对照组采用常规方法对患者进行护理；观察组在对照组基础上采用Orem自理理论对患者病情进行护理干预,比较两组患者社会支持水平、焦虑缓解程度、自理能力以及住院时间等指标.结果 观察组社会支持评定量表(SSRS)评分为(25.13±3.74)分,对照组为(22.86±3.97)分,差异有统计学意义(t=3.200,P＜0.05)；患者焦虑自评量表(SAS)评分为(22.74±1.69)分,对照组为(23.41±2.23)分,差异有统计学意义(t=2.261,P＜0.05)；观察组出院时日常生活指数(ADL)评分为(80.14±9.87)分,对照组为(61.81±13.92)分,差异有统计学意义(=2.606,P＜0.05)；出院3个月后再进行评分,观察组得分仍高于对照组,差异亦有统计学意义(t=2.861,P＜0.05)；观察组患者住院时间为(11.49±3.84)d,对照组为(20.84±13.67)d,差异有统计学意义(t=-2.335,P＜0.05).结论 Orem自理理论应用于迟发型颅内血肿护理可以提高患者的自我护理能力,明显缩短住院时间,提高患者的生活质量.
目的 探討Orem自理理論在遲髮型顱內血腫患者護理中的應用價值.方法 將53例遲髮型顱內血腫患者按照隨機數字錶法隨機分為觀察組30例和對照組23例；對照組採用常規方法對患者進行護理；觀察組在對照組基礎上採用Orem自理理論對患者病情進行護理榦預,比較兩組患者社會支持水平、焦慮緩解程度、自理能力以及住院時間等指標.結果 觀察組社會支持評定量錶(SSRS)評分為(25.13±3.74)分,對照組為(22.86±3.97)分,差異有統計學意義(t=3.200,P＜0.05)；患者焦慮自評量錶(SAS)評分為(22.74±1.69)分,對照組為(23.41±2.23)分,差異有統計學意義(t=2.261,P＜0.05)；觀察組齣院時日常生活指數(ADL)評分為(80.14±9.87)分,對照組為(61.81±13.92)分,差異有統計學意義(=2.606,P＜0.05)；齣院3箇月後再進行評分,觀察組得分仍高于對照組,差異亦有統計學意義(t=2.861,P＜0.05)；觀察組患者住院時間為(11.49±3.84)d,對照組為(20.84±13.67)d,差異有統計學意義(t=-2.335,P＜0.05).結論 Orem自理理論應用于遲髮型顱內血腫護理可以提高患者的自我護理能力,明顯縮短住院時間,提高患者的生活質量.
목적 탐토Orem자리이론재지발형로내혈종환자호리중적응용개치.방법 장53례지발형로내혈종환자안조수궤수자표법수궤분위관찰조30례화대조조23례；대조조채용상규방법대환자진행호리；관찰조재대조조기출상채용Orem자리이론대환자병정진행호리간예,비교량조환자사회지지수평、초필완해정도、자리능력이급주원시간등지표.결과 관찰조사회지지평정량표(SSRS)평분위(25.13±3.74)분,대조조위(22.86±3.97)분,차이유통계학의의(t=3.200,P＜0.05)；환자초필자평량표(SAS)평분위(22.74±1.69)분,대조조위(23.41±2.23)분,차이유통계학의의(t=2.261,P＜0.05)；관찰조출원시일상생활지수(ADL)평분위(80.14±9.87)분,대조조위(61.81±13.92)분,차이유통계학의의(=2.606,P＜0.05)；출원3개월후재진행평분,관찰조득분잉고우대조조,차이역유통계학의의(t=2.861,P＜0.05)；관찰조환자주원시간위(11.49±3.84)d,대조조위(20.84±13.67)d,차이유통계학의의(t=-2.335,P＜0.05).결론 Orem자리이론응용우지발형로내혈종호리가이제고환자적자아호리능력,명현축단주원시간,제고환자적생활질량.
Objective To discuss the application value of Orem self-care theory in nursing care of patients with delayed intracranial hematoma.Methods Totals of 53 patients with delayed intracranial hematoma were randomly divided into the observation group (n =30) and control group (n =23).The patients in the control group were cared with routine nursing methods,while the patients in the observation group were cared by using of Orem theory of self-care nursing intervention based on the routine nursing.Social support,anxiety level,and the degree of self-care ability and hospitalization time were compared between two groups.Results The score of patients' social support level was (25.13 ± 3.74) in the observation group and (22.86 ± 3.97) in the control group,and the difference was significant (t =3.200,P ＜ 0.05).The score of self anxiety scale (SAS) was (22.74 ± 1.69) in the observation group and (23.41 ± 2.23) in the control group,and the difference was significant (t =2.261,P ＜ 0.05).The score of activities of daily living (ADL) was (80.14 ± 9.87) in the observation group and (61.81 ± 13.92) in the control group,and the difference was significant (t =2.606,P ＜0.05),at discharge; And 3 months after discharge,ADL score of the observation group were higher than that of the control group (t =2.861,P ＜ 0.05).The hospitalization time of the observation group was significantly reduced than that of the control group [(11.49 ± 3.84) vs (20.84 ± 13.67) d; t =-2.335,P ＜ 0.05].Conclusions Application of Orem self-care theory in nursing of delayed intracranial hematoma can enhance self-care ability of patients,shorten the hospitalization time,improve the quality of life of patients.
